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|
Attributes | |
ACN | 542567 |
Time | |
Date | 200203 |
Day | Tue |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | airport : lga.airport |
State Reference | NY |
Altitude | msl bound lower : 2000 msl bound upper : 5000 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | tracon : n90.tracon |
Operator | common carrier : air carrier |
Make Model Name | EMB ERJ 145 ER&LR |
Operating Under FAR Part | Part 121 |
Navigation In Use | other |
Flight Phase | climbout : intermediate altitude |
Route In Use | departure sid : lga9 |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp pilot : cfi |
Experience | flight time last 90 days : 240 flight time total : 4300 flight time type : 300 |
ASRS Report | 542567 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Events | |
Anomaly | non adherence : company policies non adherence : far non adherence : published procedure non adherence : clearance other anomaly other other spatial deviation |
Independent Detector | atc equipment other atc equipment : radar other controllera other flight crewa other flight crewb |
Resolutory Action | controller : issued alert controller : issued new clearance none taken : detected after the fact |
Supplementary | |
Problem Areas | ATC Human Performance Flight Crew Human Performance |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
On mar/tue/02, at approximately XA40 on flight X my first officer and myself were next in line for departure off of runway 13 in lga. We had been issued the whitestone climb on the lga 9 departure and had briefed our clearance. Both of us had the printed chart (textual description) out and visible. Tower controller cleared us into position and hold and changed our climb to the coney climb. We ran our lineup check and while I was positioning the aircraft the first officer read off the description of the climb. Part of the text reads '...180 degree heading until intercepting the cri R-043...' I set 043 degrees on my HSI. After departure I intercepted the radial and began to turn left to track it. This didn't seem correct and I looked down to examine my chart again when the first officer also brought this to my attention. I had, being distracted, set 043 degrees on my HSI (as I heard in the quick rebrief from my first officer) instead of the proper 223 degrees to track inbound to cri. I immediately began a rapid turn to the right to get back onto the proper procedure (we had only turned 30 degrees or so to the left, about a 150 degree heading). At this time ATC also issued a right turn. No further actions were taken, no TCASII alerts issued and the flight continued to the destination without further incident or possible intervention. Contributing factors: chart on yoke while folded hides visual depiction while still able to read text. Change of departure procedure while entering the runway environment for departure. Distraction during rebief of entering runway environment and setup for new procedure leading to incorrect setup on HSI. Mind preprogrammed/briefed on whitestone climb and information interfered with the coney brief (partly caused by distraction).
Original NASA ASRS Text
Title: EMB145 CREW TURNED THE WRONG WAY TO FLY THE SID THAT WAS CHANGED AT THE LAST SECOND BY LGA LCL CTLR.
Narrative: ON MAR/TUE/02, AT APPROX XA40 ON FLT X MY FO AND MYSELF WERE NEXT IN LINE FOR DEP OFF OF RWY 13 IN LGA. WE HAD BEEN ISSUED THE WHITESTONE CLB ON THE LGA 9 DEP AND HAD BRIEFED OUR CLRNC. BOTH OF US HAD THE PRINTED CHART (TEXTUAL DESCRIPTION) OUT AND VISIBLE. TWR CTLR CLRED US INTO POS AND HOLD AND CHANGED OUR CLB TO THE CONEY CLB. WE RAN OUR LINEUP CHK AND WHILE I WAS POSITIONING THE ACFT THE FO READ OFF THE DESCRIPTION OF THE CLB. PART OF THE TEXT READS '...180 DEG HDG UNTIL INTERCEPTING THE CRI R-043...' I SET 043 DEGS ON MY HSI. AFTER DEP I INTERCEPTED THE RADIAL AND BEGAN TO TURN L TO TRACK IT. THIS DIDN'T SEEM CORRECT AND I LOOKED DOWN TO EXAMINE MY CHART AGAIN WHEN THE FO ALSO BROUGHT THIS TO MY ATTN. I HAD, BEING DISTRACTED, SET 043 DEGS ON MY HSI (AS I HEARD IN THE QUICK REBRIEF FROM MY FO) INSTEAD OF THE PROPER 223 DEGS TO TRACK INBOUND TO CRI. I IMMEDIATELY BEGAN A RAPID TURN TO THE R TO GET BACK ONTO THE PROPER PROC (WE HAD ONLY TURNED 30 DEGS OR SO TO THE L, ABOUT A 150 DEG HDG). AT THIS TIME ATC ALSO ISSUED A R TURN. NO FURTHER ACTIONS WERE TAKEN, NO TCASII ALERTS ISSUED AND THE FLT CONTINUED TO THE DEST WITHOUT FURTHER INCIDENT OR POSSIBLE INTERVENTION. CONTRIBUTING FACTORS: CHART ON YOKE WHILE FOLDED HIDES VISUAL DEPICTION WHILE STILL ABLE TO READ TEXT. CHANGE OF DEP PROC WHILE ENTERING THE RWY ENVIRONMENT FOR DEP. DISTR DURING REBIEF OF ENTERING RWY ENVIRONMENT AND SETUP FOR NEW PROC LEADING TO INCORRECT SETUP ON HSI. MIND PREPROGRAMMED/BRIEFED ON WHITESTONE CLB AND INFO INTERFERED WITH THE CONEY BRIEF (PARTLY CAUSED BY DISTR).
Data retrieved from NASA's ASRS site as of July 2007 and automatically converted to unabbreviated mixed upper/lowercase text. This report is for informational purposes with no guarantee of accuracy. See NASA's ASRS site for official report.